MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

FAMILY HOME INSPECTION REPORT

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Facility Information

Facility Name
BOWEN, OLIVE

Facility DVN
001465856

Phone
(417) 469-4878

Physical Address
700 ASH ST
WILLOW SPRINGS
MO 65793-3445

Owner
BOWEN, OLIVE

Mailing Address
5919 COUNTY ROAD 4870
POMONA
MO 65789-9428

Provider/Director
BOWEN, OLIVE

E-mail Address
OLIVE.BOWEN57@GMAIL.COM

Incorporated

Child Care Specialist
ELAINE S COX

Age Range
BIRTH - 12 YEARS

Capacity
10

Facility Type
FAMILY HOME

Limitations
IF ONLY 4 CHILDREN PRESENT, ALL CHILDREN MAY BE UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 2 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER; UP TO 10 CHILDREN IN CARE NO MORE THAN 4 CHILDREN UNDER AGE 2 WITH 2 ADULT CAREGIVERS; UP TO 6 CHILDREN IN CARE NO MORE THAN 3 CHILDREN UNDER AGE 2 WITH 1 ADULT CAREGIVER

Inspection Information

Date
01/04/2022

Arrival Time
12:45 PM

Departure Time
1:23 PM

Notice
UNANNOUNCED

Inspection Type
COMPLIANCE MONITORING

Inspection ID
2415332134

Document	Document-Date
LOCAL FIRE DEPARTMENT NOTIFICATION	06/29/2020
FIRE/SAFETY INSPECTION	06/03/2021
ASSISTANT REFERENCES	10/18/2013
SAMPLE WEEKLY MENU	06/15/2000
POLICIES	06/15/2000
DIAGRAM/OUTDOOR	07/28/2000
DIAGRAM/INDOOR	07/28/2000
DAILY SCHEDULE	07/28/2000
ASSISTANT APPROVAL REQUEST	09/22/2014
OWNER/PROVIDER REFERENCES	05/12/2010
CHILD CARE/DISCIPLINE POLICIES	06/15/2000
SAFE SLEEP POLICY	05/27/2016
DISASTER AND EMERGENCY PREPAREDNESS PLAN	05/06/2019
SANITATION INSPECTION	03/10/2021
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS	04/12/2021
EQUIPMENT LIST	04/12/2021
ANNUAL DECLARATION	04/12/2021

Overlap Start Time	Overlap End Time	Overlap Submit Date
3:05PM	5:05PM	8/15/2016

Inspection determined facility to be in compliance with licensing rules.

Open Violations: NA

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.

Attendance at Time of Inspection

Total Staff 1

Total Children 10

Staff	Child	Class Age	Note
1	10	MIXED	Olive Bowen with 10 children age 4 months to 5 years, includes 2 children under 2 years.


5 CSR 25-400.025 Organization and Administration Compliance
5 CSR 25-400.045 Licensing Process Compliance
5 CSR 25-400.055 Annual Requirements Compliance
5 CSR 25-400.085 Physical Requirements of the Family Day Care Home Compliance
5 CSR 25-400.086 Fire Safety Compliance
5 CSR 25-400.090 Disaster and Emergency Preparedness Compliance
5 CSR 25-400.095 Furniture, Equipment and Materials Compliance
5 CSR 25-400.105 The Child Care Provider and Other Child Care Personnel Compliance
5 CSR 25-400.115 Day Care Family and Household Compliance
5 CSR 25-400.125 Medical Examination Reports Compliance
5 CSR 25-400.135 Admission Policies and Procedures Compliance
5 CSR 25-400.145 Nighttime Care Compliance
5 CSR 25-400.155 Overlap Care of Children Compliance
5 CSR 25-400.165 Emergency School Closings Compliance
5 CSR 25-400.175 Child Care Program Compliance
5 CSR 25-400.185 Health Care Compliance
5 CSR 25-400.190 Nutrition and Food Service Compliance
5 CSR 25-400.200 Transportation and Field Trips Compliance
5 CSR 25-400.210 Records and Reports Compliance
5 CSR 25-600.020 Background Screening Findings Compliance
5 CSR 25-600.040 General Requirements Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths - persons required to report - supervisors and administrators not to impede reporting - deaths required to be reported to the division or child fatality review panel, when - report made to another state, when. Compliance
RSMo 210.211. License required - exceptions - written notice of licensure status, when. Compliance
RSMo 210.252. Fire, safety, health and sanitation inspections, procedures - variances to rules granted when - rules authorized. Compliance